基于网络的综合医院-社区医院合作型培训在提高社区医护人员癌痛管理能力的研究分析
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摘要
目的研究基于互联网的合作型培训对于提高社区医护癌痛管理能力的价值。方法 2015年1月~2016年5月,招募60名社区医护人员作为研究对象,随机分为实验组和对照组。实验组接受网络的综合医院-社区医院合作型培训,对照组接受传统的培训方法。培训结束后再选取2015年6月~2016年12月的相关社区负责的癌症患者180例作为患者研究对象,随机分于对照组与实验组护理人员进行癌痛管理,管理时间为6个月。6个月结束后比较两组护理人员癌痛管理知识、两组患者的NRS评分、对医护人员的满意度、患者的生活质量。结果医护人员癌痛知识方面,实验组得分显著高于对照组(P<0.05);两组患者方面,实验组NRS评分显著低于对照组(P<0.05),实验组对医护人员的满意度显著高于对照组(P<0.05),两组患者的QLT-C30 V3.0中文版测评结果除在气促、腹泻和经济困难三个方面无差异性外(P>0.05),其他均是实验组优于对照组(P<0.05)。结论基于互联网的合作型培训能更好地提高社区医护的癌痛管理能力。
Objective To study the value of cooperative training for general hospital and community hospital based on network in improving the cancer pain management ability of community health care workers. Methods From January2015 to May 2016, 60 community health workers were recruited as research subjects and randomly divided into experimental group and control group. The experimental group received the general hospital-community hospital cooperative network training, the control group accepted the traditional training methods. After the training, 180 cancer patients who were in the charge of the relevant community from June 2015 to December 2016 were selected as the study subjects. Patients in the control group and experimental group were randomly assigned to cancer pain management for 6 months. After 6 months, the pain management knowledge of two group nursing staff was compared. The NRS scores of two groups of patients, the satisfaction of medical staff and the quality of life of the patients were compared. Results In the aspect of cancer pain knowledge, the score of experimental group was significantly higher than that of control group(P<0.05). In both groups, NRS score of experimental group was significantly lower than that of control group(P<0.05).The Chinese version of QLT-C30 V3.0 in both groups showed that the experimental group was better than the control group(P<0.05) except for three aspects: shortness of breath, diarrhea and economic difficulty(P>0.05). Conclusion Cooperative training based on Internet can better improve cancer care management in community health care.
Objective To study the value of cooperative training for general hospital and community hospital based on network in improving the cancer pain management ability of community health care workers. Methods From January2015 to May 2016, 60 community health workers were recruited as research subjects and randomly divided into experimental group and control group. The experimental group received the general hospital-community hospital cooperative network training, the control group accepted the traditional training methods. After the training, 180 cancer patients who were in the charge of the relevant community from June 2015 to December 2016 were selected as the study subjects. Patients in the control group and experimental group were randomly assigned to cancer pain management for 6 months. After 6 months, the pain management knowledge of two group nursing staff was compared. The NRS scores of two groups of patients, the satisfaction of medical staff and the quality of life of the patients were compared. Results In the aspect of cancer pain knowledge, the score of experimental group was significantly higher than that of control group(P<0.05). In both groups, NRS score of experimental group was significantly lower than that of control group(P<0.05).The Chinese version of QLT-C30 V3.0 in both groups showed that the experimental group was better than the control group(P<0.05) except for three aspects: shortness of breath, diarrhea and economic difficulty(P>0.05). Conclusion Cooperative training based on Internet can better improve cancer care management in community health care.
引文
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[15]谢秋燕,李玉琴,吴安琪.QQ群在体检延伸服务中的应用[J].齐鲁护理杂志,2014,20(15):108-109.
[16]李艳芳,张卫,陈丽英,等.探讨改进基层医院癌痛规范化治疗用药培训方法的研究[J].吉林医学,2017,38(11):2197-2199.
[17]耿秀双,李巧香.“艾宾浩斯”遗忘曲线在高血压健康教育中的应用[J].中国实用护理杂志,2011,27(2):60-61.
[18]高圆圆,谢波,孙子林,等.医院-社区-患者-志愿者一体化慢病管理新模式的构建研究[J].中国全科医学,2013,16(22):2624-2626.
[19]许星莹,王文.某社区卫生服务中心家庭医生中医药应用策略研究[J].社区医学杂志,2015,13(7):24-26.
[2]李霞,何旖旎,施萍.社区癌性疼痛患者的治疗状况分析[J].中国全科医师杂志,2011,11(3):217-218.
[3]王京娥,黎莹.社区医务人员癌痛治疗相关知识调查[J].实用临床医学,2012,13(2):120-123.
[4]朱慧,吴秀琴.社区癌症患者疼痛护理近况及建议[J].上海医药,2016,37(10):39-41.
[5]黄娟娟.基于JCI标准的全髋关节置换术后患者疼痛管理[J].护理学杂志,2016,31(14):37-39.
[6]徐艳,叶启乐,温萍萍,等.中西医结合快速康复技术在消化性溃疡穿孔中的应用效果[J].中华现代护理杂志,2016,22(1):89-94.
[7]邱彩锋,赵继军,秦洁,等.医护人员进行癌痛管理短期培训的临床效果评价[J].解放军护理杂志,2005,22(10):4-6.
[8]李耀丽,马龙,赵久达,等.心理干预与健康教育支持对老年肺癌患者癌痛及生活质量的影响[J].中国健康教育,2016,32(8):743-745.
[9]施如春,吉爱军.门诊中重度癌痛病人生活质量及护理对策研究[J].护理研究,2015(28):3518-3520.
[10]鞠进,何静,黄兴兰.个体化疼痛管理对癌痛患者生活质量的影响与效果评价[J].检验医学与临床,2016,13(19):2725-2727.
[11]林妙真,郑逸君,陈楚云.家庭随访对晚期肿瘤患者癌痛规范化治疗的影响研究[J].国际护理学杂志,2016(2):228-231.
[12]曾范杰.社区卫生服务发展现状及面临的挑战[J].中国卫生标准管理,2016,7(13):34-35.
[13]刘宇,邱峰,罗玲,等.社区癌痛患者药学服务实施及效果评价[J].中国药学杂志,2016,51(21):1890-1894.
[14]方敏,瞿卫东,韩坤,等.上海远郊农村地区癌痛治疗现状及影响因素分析[J].中国农村卫生,2017,(22):39-40.
[15]谢秋燕,李玉琴,吴安琪.QQ群在体检延伸服务中的应用[J].齐鲁护理杂志,2014,20(15):108-109.
[16]李艳芳,张卫,陈丽英,等.探讨改进基层医院癌痛规范化治疗用药培训方法的研究[J].吉林医学,2017,38(11):2197-2199.
[17]耿秀双,李巧香.“艾宾浩斯”遗忘曲线在高血压健康教育中的应用[J].中国实用护理杂志,2011,27(2):60-61.
[18]高圆圆,谢波,孙子林,等.医院-社区-患者-志愿者一体化慢病管理新模式的构建研究[J].中国全科医学,2013,16(22):2624-2626.
[19]许星莹,王文.某社区卫生服务中心家庭医生中医药应用策略研究[J].社区医学杂志,2015,13(7):24-26.